Heydenburg, Tina Louise

Heydenburg, Tina Louise is an individual health care provider with primary practice located at 1897 Island Walk Way Unit 5, Fernandina Beach FL 32034-1948. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Heydenburg, Tina Louise can be contacted via phone (904) 261-4664.

Contact Information

Primary practice address
1897 Island Walk Way Unit 5 Fernandina Beach FL 32034-1948
Phone: (904) 261-4664
Fax: (904) 261-5852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 16749 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9844 Colorado

Profile Details

NPI number 1952414906
LBN Legal business name Heydenburg, Tina Louise
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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